The research from nonprofit payer group the Alliance for Community Health Plans adds to existing evidence that major insurers ...

The Alliance of Community Health Plans (ACHP) is making the case that risk adjustment in Medicare Advantage (MA) needs a ...

CVS Health’s CVS Health Care Benefits (“HCB”) segment continued its strong run in the second quarter of 2025. Revenues grew ...

Compared with traditional Medicare, Medicare Advantage plans are, on average, paid more by the taxpayer-funded Medicare system for covering each enrollee. Advantage plans also have more flexibility to ...

Humana is partnering with Healthcare Outcomes Performance Company and Vori Health for patients with musculoskeletal conditions. Under the partnership Vori Health is available to Group Humana Medicare ...

Medicare Advantage, and Part D, representing carriers such as Physicians Mutual, UnitedHealthcare (AARP), Aetna, Humana, ...

Tens of thousands of retirees could learn that their current health care plan will no longer be available in Maryland this ...

The Trump administration has established a pilot program to expand prior authorization requirements within traditional ...

The findings build on other research suggesting that MA insurers restrict care more than they should, especially post-acute ...

Humana enhances value-based care for Medicare Advantage members with new partnerships, addressing rising musculoskeletal condition costs and improving patient outcomes.

Humana is broadening its musculoskeletal care program through new value-based case partnerships with Vori Health and HOPCo, alongside its existing collaboration with TailorCare. The expansion is aimed ...